CMS is considering fundamental changes to how it pays for professional services, according to the 2027 Medicare Physician Fee Schedule (MPFS) proposed rule. The proposed rule, released July 14, describes numerous potential changes to payments, codes, coverage, and more.
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Hospitals could be facing lower reimbursement for non-drug items and services, 340B drugs, excepted off-campus provider-based department (PBD) services, as well as additional price transparency and prior authorization requirements, according to CMS’ 2027 Outpatient Prospective Payment System (OPPS) proposed rule.
